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Sales Consultant
Join Our Compassionate Team at Summit Business Group Position: Direct Sales Representative Number of Openings: 1 Territory Sales Position Available About Us: At Summit Business Group, we're more than just an insurance agency. We're a growing family dedicated to offering superior supplemental benefits plans to small and medium-sized businesses and their employees. We prioritize building genuine connections and providing empathetic support to everyone we serve. If you thrive in roles where your efforts help improve the lives of others, we're looking for someone like you to fill our Direct Sales Representative role. The Role: As a Direct Sales Representative, you will enjoy the autonomy to manage your own schedule, working hours that coincide with the business hours of the clients you serve. Your main task will be forging lasting relationships with business owners and key stakeholders, understanding their needs, and presenting tailored insurance solutions that make a real difference in their lives. Out in the field, you'll engage directly with potential clients through cold calls and in-person visits using our state-of-the-art Salesforce CRM. Your goal will be not only to close sales but to become a trusted advisor to your clients, ensuring they feel valued and understood. You'll maintain these relationships through effective communication, handling inquiries with care, and providing ongoing support, especially during the claims process. What We're Looking For: Proven experience in sales or customer-facing roles, with a preference for those experienced in outside sales. Ability to conduct full training cycles, including both in-person and online sessions. Excellent organizational, communication, and presentation skills. A deep desire to assist and empower clients, showing genuine concern for their well-being. Health & Life general lines license, or the willingness to obtain it within 90 days (with support from Summit). Position Overview: This is an outside sales position working in your own assigned sales territory. We will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people. You will be expected to: Respond to general emails and phone calls from clients Set follow-up appointments with prospective and current clients to review their needs Be present on scheduled calls or meetings with your sales team or manager Call on new businesses, referrals, and existing clients who need to be reserviced: Selling Business to Business Build and maintain your own book of business Meet with sales team manager as needed to discuss and set your upcoming monthly and quarterly target sales goals and quotas Develop relationships with local business owners in your territory Set your own scheduled working hours and submit them to your sales manager each week Follow up on provided sales leads and cold-call on businesses in person, balancing "cold" lead generation and sales with your warm leads and appointments with existing clients Submit your sales metrics and activity daily We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 4 years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion will be considered, as will candidates with less than 4 years of professional work experience who have relevant or specialized outside sales experience. Your New Journey:If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more and apply at:www.yoursummitinsurance.com
Sales Representative and Field Trainer
Position: - Sales Representative and Field Trainer About Us: We are looking for current or former athletes with a competitive mindset. Summit Insurance is on the lookout for driven individuals to join our dynamic sales team as Trainers. This isn't just about selling our top-notch supplemental insurance products; it's about mastering our sales process and stepping into a role where you'll both grow your own business and mentor others in the field. At Summit, we believe in rewarding your "leave it all on the field" mentality. Your hard work and dedication will be directly reflected in your paycheck, making every sale feel like a win. Forget the typical office grindour days are spent out in the field, meeting clients, building relationships, and always feeling the camaraderie of a supportive team. We're searching for people who can push through challenges, stay focused on their goals, and thrive in the hustle. If you're passionate about your own success and helping others achieve theirs, we want to hear from you. At Summit Insurance, we're all about elevating not just your career, but your life. The Role: An energetic, people-loving go-getter will thrive in our Trainer position, making a significant impact. As a Trainer at Summit, you will be the heartbeat of our team, shaping the future of our sales force with enthusiasm and expertise. What We're Looking For: A Natural Leader: Someone who leads by example and isn't afraid to take the initiative. Results-Oriented: Setting goals and working tirelessly to achieve them, always pushing for the next level. People Person: A charismatic personality great at building relationships and motivating others. Adaptable: Thrives in dynamic environments and can adjust their approach to suit different personalities and situations. Creative Thinker: Always looking for new ways to solve problems and improve processes. Why Join Us: Vibrant Culture: Work in a lively, supportive environment where ideas are valued, and growth is a priority. Impact: Play a pivotal role in the success and development of our sales team, shaping the future of Summit Insurance. Growth Opportunities: With our continuous growth, there are endless opportunities for career advancement and personal development. Supportive Team: Join a team of like-minded professionals who are passionate about what they do and are always ready to lend a hand. DUTIES & RESPONSIBILITIES: Make daily in-person sales calls to small and medium-sized businesses in your territory: Selling Business to business. Build strong professional relationships and establish trust and rapport with customers. Connect with key decision makers at these businesses and schedule appointments to present our supplemental benefits programs to their employees in a group presentation or enrollment-style setting. Report daily sales stats at the end of each day Submit your work schedule and goals to team leader at the beginning of each week Attend business networking events in your territory to accumulate new leads and referrals Re-service your existing client accounts periodically and systematically Enter business client information weekly into CRM The Sales and Leadership Representative dedicates part of their week to making sales, ensuring they meet their own sales goals and objectives. Simultaneously, they balance this responsibility with the important task of training and mentoring new sales agents on the team, helping them develop their skills and achieve their targets. Strong sales skills as well as some type of mentorship or leadership experience is a must for this role. The Sales and Leadership Representative is responsible for supporting the sales staff and increasing sales. Our ideal candidate has the following skills and qualifications: Strong communication skills for interactions with customers and sales staff Leadership skills Strategic planning Familiarity with effective sales strategies Inspirational attitude and ability to create a motivating environment Ability to train others effectively Mastery of Product knowledge Customer service skills We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 10 years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion Your New Journey: If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more at www.yoursummitinsurance.com
Sales Consultant
Join Our Compassionate Team at Summit Business Group Position: Direct Sales Representative Number of Openings: 1 Territory Sales Position Available About Us: At Summit Business Group, we're more than just an insurance agency. We're a growing family dedicated to offering superior supplemental benefits plans to small and medium-sized businesses and their employees. We prioritize building genuine connections and providing empathetic support to everyone we serve. If you thrive in roles where your efforts help improve the lives of others, we're looking for someone like you to fill our Direct Sales Representative role. The Role: As a Direct Sales Representative, you will enjoy the autonomy to manage your own schedule, working hours that coincide with the business hours of the clients you serve. Your main task will be forging lasting relationships with business owners and key stakeholders, understanding their needs, and presenting tailored insurance solutions that make a real difference in their lives. Out in the field, you'll engage directly with potential clients through cold calls and in-person visits using our state-of-the-art Salesforce CRM. Your goal will be not only to close sales but to become a trusted advisor to your clients, ensuring they feel valued and understood. You'll maintain these relationships through effective communication, handling inquiries with care, and providing ongoing support, especially during the claims process. What We're Looking For: Proven experience in sales or customer-facing roles, with a preference for those experienced in outside sales. Ability to conduct full training cycles, including both in-person and online sessions. Excellent organizational, communication, and presentation skills. A deep desire to assist and empower clients, showing genuine concern for their well-being. Health & Life general lines license, or the willingness to obtain it within 90 days (with support from Summit). Position Overview: This is an outside sales position working in your own assigned sales territory. We will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people. You will be expected to: Respond to general emails and phone calls from clients Set follow-up appointments with prospective and current clients to review their needs Be present on scheduled calls or meetings with your sales team or manager Call on new businesses, referrals, and existing clients who need to be reserviced: Selling Business to Business Build and maintain your own book of business Meet with sales team manager as needed to discuss and set your upcoming monthly and quarterly target sales goals and quotas Develop relationships with local business owners in your territory Set your own scheduled working hours and submit them to your sales manager each week Follow up on provided sales leads and cold-call on businesses in person, balancing "cold" lead generation and sales with your warm leads and appointments with existing clients Submit your sales metrics and activity daily We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 4 years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion will be considered, as will candidates with less than 4 years of professional work experience who have relevant or specialized outside sales experience. Your New Journey:If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more and apply at:www.yoursummitinsurance.com
Senior Sales Representative
Senior Sales Representative & Training Mentor at Alleviation – Lead, Inspire, Educate, and Succeed Alleviation: Cultivating Leadership and Expertise At Alleviation, we distinguish ourselves in the insurance industry by fostering leadership and innovation. We're looking for a seasoned professional who embodies our mission of leading by example. If you have a rich background in sales, customer service, or in roles requiring dynamic interaction like the military, sports, healthcare, teaching, or first responders, and possess experience in leadership, management, training, or teaching with a profound commitment for mentoring, you are the ideal candidate for this impactful role. The Role: Blending Sales Mastery with Mentorship As a Senior Sales Representative at Alleviation, your role transcends typical sales objectives. You'll not only aim for sales excellence but also play a crucial role in guiding and educating our team. Initially focusing on establishing your sales record, you'll soon transition into a mentorship position, continuously maintaining your sales achievements to uphold our principle of leadership by example. Your Journey with Us: Demonstrate Sales Leadership: Set a high benchmark in sales, inspiring your team with your results. Focus on Mentorship: Utilize your leadership and training background to nurture new talent, sharing your knowledge and passion in the field. Sustain Sales Engagement: Balance your mentorship role with ongoing personal sales, demonstrating effective leadership through active participation. Why Alleviation? Direct Path to Mentorship: We offer a clear and rewarding journey from top sales performer to a key mentor and leader with transparent benchmarks in place for career progression. Career Growth Through Merit: Your leadership skills and sales achievements drive your career progression. License Training and State Fee Reimbursement: We fully support your professional development by covering the costs of your insurance licensing training course and offering a reimbursement program for state licensing fees. The Ideal Candidate: Minimum 3 years of full-time experience in sales, customer service, or in interactive roles. Demonstrated experience and passion for leadership, management, training, or teaching. Exceptional ability to communicate, connect, and inspire a diverse team. Consistent record of surpassing goals and targets. Efficient in managing dual roles in sales and mentorship. Able to pass a high-level pre-employment background check Has Active Drivers License and reliable transportation Compensation & Benefits: Comprehensive classroom and field training program Weekly draw pay option plus commissions (no caps and short sales cycle-3 business days) as well as monthly cash sales bonuses, quarterly stock share bonuses, incentive trips, and vested renewal commissions Health, dental and vision benefits offered after 60-days of employment Performance-based promotions Control of your schedule based on results achieved rather than time worked Continuing professional development classes, advanced sales trainings, and leadership development classes Culture of camaraderie, friendly competition, and success mindset Step into a Role That Matters: Ready to lead, mentor, and drive success in a dynamic sales environment while achieving your own sales goals? We invite you to apply to Alleviation and be a pivotal part of our journey in reshaping insurance sales. Please take a moment to check out our website at: https://www.alvtn.com/
Call Center Representative
Job Summary The CWB Representative role supports the CWB contact center by servicing customers through inbound/outbound calls and emails. Ideal candidates thrive in a fast-paced environment, demonstrate attention to detail, excel in communication, and possess strong problem-solving skills. The primary goal is to deliver exceptional customer experiences. In addition, assisting with functions that include but is not limited to: Responsibilities Provide superior customer experience via incoming telephone calls in a fast-paced, automated, high-volume contact center environment Assume ownership and timeliness in handling callers’ requests in an efficient, accurate and professional manner Quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding expectations (responding in a respectful, accurate, timely manner, consistently meeting commitments) Ability to navigate multiple systems and applications to research, analyze and resolve requests & inquiries Maintain performance and quality standards Analyze information to make appropriate decisions and solve problems, while maintaining a positive phone experience Ability to learn the basic concepts of personal lines insurance principles and Chubb and Combined products offered to our CWB customers Work collaboratively with team members, and business partners to provide a positive customer experience for our caller Ability to work 40 hours a week on scheduled shift between the hour 7am-8pm CST; work overtime and weekends as needed Assist with special requests as needed. Complete additional tasks and other projects/duties as assigned Competencies Problem Solving : Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation. Continuous Learning : Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth Initiative : Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference. Adaptability : Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course Results Orientation : Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results Values Orientation : Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb” Qualifications Minimum of high school diploma or equivalent; college degree or currently pursuing is preferred. 1-2 years’ experience of Insurance background Customer- focused mindset and dedication to providing exceptional service to employees Previous experience in a high-volume contact center with a focus on decision making, problem solving and delivering superior customer service is a plus! Outstanding, effective, and service focused communication skills, both verbal and written Proficient in computer skills, multi-application navigation and multi-tasking Accepts accountability
Sales Account Representative
We’re growing our sales team and looking for a driven, energetic individual to join us and take their career to the next level! While prior experience in sales or leadership is a plus, it's not required—we're seeking the best fit for our team and company culture, regardless of your background. At Alleviation, we embrace the values of Ownership, Growth, and Service. We're dedicated to your success and offer an extensive training program that includes virtual classes and hands-on mentoring in your assigned sales territory. Your mentor will guide you through the entire sales process and share advanced techniques to help you excel. Although your main focus will be making sales calls and supporting clients in your local area, we also offer optional sales weeks with travel opportunities to work alongside colleagues from other regions. Your role will be introducing business owners and their employees to top-tier supplemental health benefit plans. From one-on-one consultations to group presentations, your role will shape the landscape of your territory. Core Responsibilities: Utilize our customized Salesforce CRM to curate leads and generate clients while expanding your professional network within your territory and neighboring communities Respond to client inquiries via phone, email, or text as needed Schedule meetings with potential and existing clients to understand their insurance needs Attend scheduled calls and meetings with your sales manager and team Personally visit new businesses, develop relationships with local business owners, follow up on referral leads, and reservice existing clients Build and nurture your own client portfolio Collaborate with your sales team manager to set monthly and quarterly sales targets for yourself Plan and adhere to your weekly schedule and working hours; submit your schedule to your sales team manager each week Record daily work stats and sales activity updates at the end of each work day QUALIFICATIONS & DESIRED SOFT SKILLS: Strong interpersonal skills with the ability to build genuine connections quickly. A strong passion for assisting others, resilience in challenging situations, and a track record of exceeding expectations in sales, athletics, or leadership roles. Clearly-defined personal goals, a positive attitude, and optimistic outlook. Quick-thinking with exceptional situational awareness and critical thinking skills. Hunger for learning and growth, strong time management abilities, and the capability to work independently. Individuals with a background in competitive sports, coaching, athletics, or competitive leagues are among our top performers ADDITIONAL QUALIFICATIONS: Pass a high-level pre-employment background check Active Drivers License and reliable transportation Active Health & Life Insurance Producer license in your resident state (or willing to obtain - study course provided and state licensing fees reimbursement available) Bachelor's degree or minimum of 4 years post-high school work experience (candidates within 6 months of degree completion or less than 4 years of professional work experience with relevant sales or athletic background will be considered) COMPENSATION & BENEFITS: Comprehensive classroom and field training program Weekly draw pay option plus commissions (no caps and short sales cycle-3 business days) as well as monthly cash sales bonuses, quarterly stock share bonuses, incentive trips, and vested renewal commissions Health, dental and vision benefits offered after 60-days of employment Performance-based promotions Control of your schedule based on results achieved rather than time worked Continuing professional development classes, advanced sales trainings, and leadership development classes Culture of camaraderie, friendly competition, and success mindset Apply now to be part of a team that embraces challenges and rewards effort! www.alvtn.com
Senior Group Underwriter – Employee Benefits
Summary Rates and designs benefits for largest and most complex groups. Our products include dental, vision, life, AD&D, short- and long-term disability, accident, critical illness, hospital indemnity, GAP, and LBM. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 1301 Gervais Street Columbia, SC 299201. * We’re open to a hybrid or fully remote employee for the right candidate. What You Will Do: Determines the acceptability of new group risk. Generates proposals. Completes pre-reviews on new groups and rate reviews on renewals. May process and complete ERISA reporting. Trains and advises less experienced underwriters. Serves as a liaison to other departments concerning underwriting issues. To Qualify for This Position, You Will Need the Following: Bachelor's degree OR four years job related work experience OR four years combined education and job-related experience. Required Work Experience: Five years underwriting experience. Required Skills and Abilities: Excellent organizational, customer service, oral and written communication skills. Excellent mathematical, analytical and critical thinking skills. Good judgment. Ability to handle confidential or sensitive information with discretion. Proficient spelling, punctuation, and grammar. Extensive knowledge of underwriting and risk principles and their application. Required Software and Other Tools: Microsoft Office. What we Prefer You to Have the Following: Preferred Education bachelor's degree in accounting, Finance, Business or Healthcare Administration, Statistics, Mathematics, or related field Preferred Work Experience: Seven years of underwriting experience both new business and renewals. Strongly Preferred experience with dental, vision, life, AD&D, short- and long-term disability, accident, critical illness, hospital indemnity, GAP, and LBM. Preferred Skills and Abilities: Insurance course work in FLMI, HIAA Preferred Software and Other Tools: Knowledge of database software and computer systems support. Our comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What We Can Do For You: (Standard, unless otherwise directed) We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .
Senior Provider Enrollment Analyst – Palmetto GBA
Summary Acts as a Team Lead by providing guidance/direction/training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult enrollment applications and/or complex inquiries. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time (40-hours/week) Monday-Friday position located onsite at 17 Technology Circle, Columbia, SC, 29203. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. What You’ll Do: Functions as Team Leader/senior-level Enrollment Analyst. Provides leadership/guidance/direction/training to staff. Distributes work and is available to answer questions from staff. Acts as a resource for staff regarding any escalating issues. Keeps manager informed of any problems/issues that need resolving. Conducts quality reviews of completed work. Ensures that all audits are completed, verified, and closed. Performs analysis of audits to determine areas for training, development, and education. Ensures that quality work instructions/forms/documents are developed/revised as needed. Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone). Obtains information from internal departments, providers, government and/or private agencies, etc. to resolve discrepancies/problems. Interprets various guidelines and provides input to required procedures. Generates and analyzes various provider reports to management. Participates in testing system changes related to provider files. Contributes/participates/completes special projects as assigned. To Qualify for this Position, You’ll Need the Following: Required Education: 4 years job related work experience or Associate's and 2 years job related work experience. Required Work Experience: 2 years of provider network enrollment/certification experience. Required Skills and Abilities: Working knowledge of word processing, spreadsheet, and database software. Working knowledge of provider certification process and claims processing operations/systems. Good judgment skills required. Effective customer service, organizational, and presentation skills required. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency required. Analytical or critical thinking skills required. Ability to handle confidential or sensitive information with discretion. In-depth knowledge of pricing methodology and discount programs. In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues. Required Software and Tools: Microsoft Office. We Prefer That You Have the Following : Medicare Part A/B MAC experience Proficient with PECOS and IFLOW What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage. 401k retirement savings plan with company match. Life Insurance. Paid Time Off (PTO). On-site cafeterias and fitness centers in major locations. Education Assistance. Service Recognition. National discounts to movies, theaters, zoos, theme parks and more. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .
Auditor I – Palmetto GBA
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audit the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Review assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working Remote in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Conduct audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings. Develop detailed reports on each audit conducted. Report includes a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified. Conduct special audit studies for management, such as those required to discover controls for prevention of fraud. Prepare reports of finding and recommendations for management. Assist other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor’s Degree in a job-related field (This position is open to students who are expected to graduate in May 2025) Required Work Experience: No previous work experience required. Required Software and tools: Microsoft Office Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. We Prefer That You Have the Following: • Bachelor's Degree with 12 credit hours of Accounting or Finance (You will need to provide your transcripts) • Strong Microsoft Excel skills • Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA). Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .
Claims Customer Service Advocate II
Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Position Purpose: This role is part of an inbound call center and directly helps our customers by responding to inquiries that may be non-routine and require deviation from standard screens, scripts and procedures. Research may be required to resolve these inquiries. Other responsibilities include review and adjudication of claims and/or non-medical appeals, determining whether to return, deny or pay claims while following policies and procedures. Location: This position is full-time (40 hours/week) Monday - Friday in a typical office environment. Employees are required to work a training and work schedule of 8:00am to 4:30. It may be necessary, given the business need to work occasional overtime and weekends. This role is located at 4101 Percival Road, Columbia SC. What You'll Do: You'll ensure effective customer relations by responding accurately, timely and courteously to our customers. These responses may be by telephone, written, web or walk-in inquiries. You will handle situations which may require a different set of responses or extensive research. Adhering to department guidelines, you will also identify claims that have been incorrectly processed and will enact process adjustments and reprocessing actions. You will examine and process claims and/or non-medical appeals while ensuring business/contract regulations, internal standards and examining guidelines. Another responsibility is to enter claims into the claim system after verifying correct coding of procedures and diagnosis codes. Claims must be processed according to established quality and production standards. You'll identify complaints and inquiries that may be complex and that cannot be resolved following usual procedures and guidelines and refer to a team lead or manager for resolution. You will also identify and report fraud and abuse situations. To Qualify for This Position, You'll Need: Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities : Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Our Comprehensive Benefits Package Includes The Following 401(k) retirement savings plan with company match. Subsidized health plans and free vision coverage. Life insurance. Paid annual leave - the longer you work here, the more you earn. Nine paid holidays. On-site cafeterias and fitness centers in major locations. Wellness programs and a healthy lifestyle premium discount. Tuition assistance. Service recognition. What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .